Insurance Verification Specialist

Atlantic Medical Management, LLC; Jacksonville (NC); On-site; USD 34,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental, Vision Coverage

Life Insurance

Paid Time Off

Long Term Disability

401K Plan

Job summary

Atlantic Medical Management, LLC is seeking an Insurance Verification Specialist to conduct clerical tasks related to patient billing, verify insurance eligibility, and resolve issues to ensure clean billing. The role requires coordinating with staff and management to minimize scheduling errors and maintain up-to-date insurance details.

The ideal candidate has at least one year in a medical office, preferably with medical billing experience, and strong communication skills to explain financial

Qualifications

• Minimum of 1 year working in a medical office.
• Medical Billing experience preferred.
• Must be comfortable asking for payment.
• Must have outstanding phone etiquette and attention to detail.

Responsibilities

• Verify insurance eligibility for upcoming appointments by EMR, online portals or contacting carriers.
• Explain financial responsibilities to patients.
• Enter insurance information and updates for patient accounts.
• Maintain confidentiality and HIPAA compliance.
• Assist in development and communication of SOPs for key areas.
• Answer questions from patients, clerical staff and insurance companies.

Skills

Medical Billing

Phone etiquette

Attention to detail

Patient account management

Tools

EMR system

Insurance portals

Job description

RCM INSURANCE VERIFICATION SPECIALIST

RCM INSURANCE VERIFICATION SPECIALIST performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Works with others in a team environment.

Essential Functions

• Maintains patient demographic information and verifies, enters or updates insurance information for new patients and existing patients to include copays and deductibles
• Verify insurance eligibility for upcoming appointments by utilizing EMR, online websites or by contacting the carriers directly.
• Explain financial responsibilities to patients.
• Coordinate with staff and management regarding scheduling errors. Update the error spreadsheet daily.
• Enter insurance effective dates and/or authorization details.
• Participates in development of organization procedures and update of forms and manuals.
• Answers questions from patients, clerical staff and insurance companies.
• Works in conjunction with the reception to ensure clean billing.
• Performs miscellaneous job-related duties as assigned.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

Process

• Check assigned locations daily and confirm eligibility, copay, and outstanding balance for every scheduled patient.
• Enter and update carrier details in the insurance section of the patient account to include plan name, effective dates, co-pays and deductibles.
• Flag and address potential errors. All errors should be logged onto the Eligibility Error Spreadsheet
• Add copay and outstanding collection notes in the appointment details for the PSR to see and address during the check in process.
• If further action is needed, due to portal downtime or insurance errors, enter notes into the appointment details for the PSR to see.
• Maintain regular verification management at least two days ahead of schedule
• Attempt to collect outstanding balances and/or work with RCM management to assist with questions

Qualifications

• Minimum of 1 year working in a medical office.
• Medical Billing experience preferred.
• Must be comfortable asking for payment.
• Must have outstanding phone etiquette and attention to detail.

Benefits

• Medical, Dental, Vision Coverage
• Life Insurance
• Paid Time Off
• Long Term Disability
• 401K Plan

Job Type: Full-time